REBECCA KALOUDIS PA-C
NPI 1942719083
Physician Assistant - Medical in Clearwater, FL

Q: What is Rebecca Kaloudis's NPI number?

The NPI number for Rebecca Kaloudis is 1942719083. It was assigned to this individual provider in the NPPES registry on September 20, 2017.

Q: What is Rebecca Kaloudis's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Rebecca Kaloudis was last updated on September 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 20, 2017PECOS Enrolled

1005 PINELLAS ST, CLEARWATER, FL 33756(727) 446-2111(727) 447-2131 Get Directions Write a Review

NPPES record last updated: September 27, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 27, 2024, Apr 12, 2023, Feb 10, 2022 and 1 more (4 updates tracked since 2017).

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About Rebecca Kaloudis Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

REBECCA KALOUDIS PA-C (NPI 1942719083) is an individual medical provider in Clearwater, Florida, licensed in Florida (PA9115337) and active in the NPI registry since September 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1942719083

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameREBECCA KALOUDISCredential: PA-C

Location Address1005 PINELLAS STClearwater, FL 33756-3432

Mailing Address1005 Pinellas StClearwater, FL 33756-3432 · (727) 446-2111 · Fax (727) 447-2131

Phone(727) 446-2111

Fax(727) 447-2131

Sole ProprietorNo

Enumeration DateSeptember 20, 2017

Last NPPES UpdateSeptember 27, 20244 updates tracked since enumeration

NPPES CertifiedSeptember 27, 2024

✔ NPI 1942719083 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in FL · PA9115337

Also ListedPhysician AssistantTaxonomy 363A00000X · License PA9115337 (FL), 021327 (NY)

1005 PINELLAS ST, Clearwater, FL 33756

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Other Identifiers 1

Medicaid113856700FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Rebecca Kaloudis Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. LAWRENCE DANIEL FORD ARNP-C

Nurse Practitioner (Primary Care)